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Sociobehavioral factors associated with caries increment: a longitudinal study from 24 to 36 months old children in
Karl Peltzer1, Aroonsri Mongkolchati2, Gamon Satchaiyan3
1ASEAN Institute for Health Development, Mahidol University, Salaya, Nakornpathom 73170, Thailand. karl.pel@mahidol.ac.th.
Insights
Sociobehavioral factors significantly impact childhood dental caries in Thailand. Lower income, higher maternal education, and using well water were linked to increased caries risk by age three.
Area of Science:
- Public Health
- Pediatric Dentistry
- Epidemiology
Background:
- Childhood dental caries is a significant public health issue.
- Understanding sociobehavioral risk factors is crucial for prevention.
- Early life influences on oral health require further investigation.
Purpose of the Study:
- To investigate sociobehavioral risk factors from prenatal to 36 months.
- To analyze dental caries increment between 24 and 36 months of age.
- To identify predictors of caries development in young Thai children.
Main Methods:
- Prospective cohort study of Thai children (PCTC) in Northern Thailand.
- Dental examinations at 24 and 36 months.
- Bivariate and multivariate logistic regression analyses.
Main Results:
- Caries increment observed in 52.9% of children between 24 and 36 months.
- Dental caries prevalence increased from 34.2% at 24 months to 68.5% at 36 months.
- Lower household income, higher maternal education, and using well/rain water were associated with increased caries.
Conclusions:
- A significant increase in dental caries development was noted.
- Sociobehavioral factors play a critical role in early childhood oral health.
- Targeted interventions addressing these factors are needed in Thailand.
Abstract:
The aim of this study is to investigate sociobehavioral risk factors from the prenatal period until 36 months of age, and the caries increment from 24 to 36 months of the child in Thailand. The data utilized in this study come from the prospective cohort study of Thai children (PCTC) from prenatal to 36 months of the child in Mueang Nan district, Northern Thailand. The total sample size recruited was 783 infants. The sample size with dental caries data was 603 and 597, at 24 months and at 36 months, respectively. The sample size of having two assessment points with a dental examination (at 24 months and at 36 months) was 597. Results indicate that the caries increment was 52.9%, meaning from 365 caries free children at 24 months 193 had developed dental caries at 36 months. The prevalence of dental caries was 34.2% at 24 months (n = 206) and 68.5% at 36 months of age (n = 409). In bivariate analysis, higher education of the mother, lower household income, bottle feeding of the infant, frequent sweet candy consumptions, and using rain or well water as drinking water were associated with dental caries increment, while in multivariate conditional logistic regression analysis lower household income, higher education of the mother, and using rain or well water as drinking water remained associated with dental caries increment. In conclusion, a very significant increase in caries development was observed, and oral health may be influenced by sociobehavioural risk factors.
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